NCM 107

Care of Mother, Child,

Adolescent & family
__Annalie Rivera-Doňa RN, MAN________
St. Luke’s College of Nursing
ACTIVITY 1: Pre-test
• Write on the chat box;

Discuss the roles for nurses in maternity care &

women’s health care. (10points for 5mins)
 PRIMARY GOAL
OF MCHN

Promotion and
maintenance of optimal
family health to ensure
cycles of optimal
childbearing and
childrearing
 PHILOSOPHY OF MCHN
• Maternal and child health
nursing is family
centered.

• Maternal and child health

nursing is community
centered.
• Maternal and child health
nursing is research oriented.

• Nursing Theory provides a

foundation for nursing
practice.

• . A maternal and child health

nurse serves as an advocate of
life.
• Maternal and child health
nursing uses a high degree of
independent nursing functions.

• Promoting health is an important

nursing role.

• Pregnancy or childhood illness

can be stressful.
• Personal, cultural, and religious
attitudes and beliefs influence
the meaning of illness and its
impact on the family.

• Maternal and child health

nursing is a challenging role for
the nurse and is a major factor in
promoting high-level wellness in
families.
• ACTIVITY 2: Small group discussion
Question:
• a. Why is maternal & Child health nursing family
centered?
• b. How does pregnancy or childhood illness can
be stressful?
• c. Do you believe that personal, cultural, and
religious attitudes & beliefs influence the
meaning of illness and its impact to the family.
What are the examples of those beliefs?
• d. Why does Maternal & Child health Nurse is a
challenging role?
• MATERNAL MORTALITY RATE is the number of
resident maternal deaths within 42 days of
pregnancy termination due to complications
of pregnancy, childbirth, and the puerperium
in a specified geographic area (country, state,
county, etc.)
• Every day, approximately 830
women die from preventable causes
related to pregnancy and childbirth.
• 99% of all maternal deaths occur in
developing countries.
• Maternal mortality is higher in
women living in rural areas and
among poorer communities.
• Young adolescents face a
higher risk of
complications and death
as a result of pregnancy
than other women.
• Skilled care before,
during and after
childbirth can save the
lives of women and
newborn babies.
• Between 1990 and 2015, maternal
mortality worldwide dropped by
about 44%.
• Between 2016 and 2030, as part of
the Sustainable Development Goals,
the target is to reduce the global
maternal mortality ratio to less than
70 per 100 000 live births.
The major complications that account for nearly
75% of all maternal deaths are:
• severe bleeding (mostly bleeding after
childbirth)
• infections (usually after childbirth)
• high blood pressure during pregnancy (pre-
eclampsia and eclampsia)
• complications from delivery
• unsafe abortion.
https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
Infant mortality
Situation and trends
• In 2017, 4.1 million (75% of all under-five
deaths) occurred within the first year of life.
• The risk of a child dying before completing the
first year of age was highest in the WHO
African Region (51 per 1000 live births), over
six times higher than that in the WHO
European Region (8 per 1000 live births).
• Globally, the infant mortality rate has
decreased from an estimated rate of 65
deaths per 1000 live births in 1990 to 29
deaths per 1000 live births in 2017.
• Annual infant deaths have declined from 8.8
million in 1990 to 4.1 million in 2017.
https://www.who.int/gho/child_health/mortality/neonatal_infant_text/e
n/
Sustainable Development Goals
(SDG)
• In 2015, 195 nations agreed
with the United Nation that
they can change the world for
the better.
• This will be accomplished by
bringing together their
respective governments,
businesses, media, institutions
of higher education, and local
NGOs to improve the lives of
the people in their country by
the year 2030.
• Eliminate Poverty
• Erase Hunger
• Establish Good Health and Well-Being
• Provide Quality Education
• Enforce Gender Equality
• Improve Clean Water and Sanitation
• Grow Affordable and Clean Energy
• Create Decent Work and Economic Growth
• Increase Industry, Innovation, and
Infrastructure
• Reduce Inequality
• Mobilize Sustainable Cities and Communities
• Influence Responsible Consumption and
Production
• Organize Climate Action
• Develop Life Below Water
• Advance Life On Land
• Guarantee Peace, Justice, and Strong
Institutions
• Build Partnerships for the Goals
• https://worldtop20.org/global-
movement?gclid=EAIaIQobChMIycvvrJy96gIVYtOWCh3tugcMEAAYASAAEgKDjvD_B
wE
As part of the Global Strategy and goal of Ending
Preventable Maternal Mortality, WHO is working
with partners towards:

• addressing inequalities in access to and

quality of reproductive, maternal, and
newborn health care services;
• ensuring universal health coverage for
comprehensive reproductive, maternal, and
newborn health care;
• addressing all causes of maternal mortality,
reproductive and maternal morbidities, and
related disabilities; and
• strengthening health systems to collect high
quality data in order to respond to the needs
and priorities of women and girls; and
• ensuring accountability in order to improve
quality of care and equity.
Current Trends in Perinatal & Women’s Health
Care
• High quality, longer lives free of preventable
disease, disability, injury & premature death.

• Achieve health equity, eliminate disparities,

& improve the health of all groups
• Create social & physical environment that
promote good health

• Promote quality of life, healthy development,

& healthy behaviours across all life stage
 Family Centered Care
• Care describe safe, high-quality
care that recognizes & adapts to
both the physical & psychosocial
needs of the family, including
the newborn.
 Principles of Family-Centered Care
• Childbirth is usually a normal, healthy event in
the life of a family.
• Childbirth affects the entire family, & family
relationships will need to be restructured.
• Families can make decisions about care if they
are given adequate information & professional
support.
• Maintain & focus on family or other support
can benefit a woman as she seeks to maintain
health
 JCIA Safety & Quality
5 core measures for perinatal;
1. Decrease the rate of elective
deliveries
2. Decrease the rate of CS birth
3. Increase the rate antenatal
administration of steriods in preterm
labor
4. Decrease the rate of newborn
septicemia or bacteremia
5. Increase the rate of exclusive
breastfeeding.
• ACTIVITY 6: SYNTHESIS / EXERCISE
• Write what are things you learn today?
• Is the plan of our government is aligned with
the SDG’s of the United Nation?
• As a Nursing student how can you help to
achieve this goals?
Assignment for next meeting;
1. Review of Male & Female reproductive
system.
2. Physiology of menstruation
3. Stages of sexual response
Thank You!
 Lesson 2
• Review of Male & Female Reproductive
Anatomy & Physiology